Individual
MR. PAUL DAVID SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST DDS
Contact information
Practice address
175 EAST BROWN STREET, SUITE 112, EAST STROUDSBURG, PA 18301
(570) 424-2990
(570) 424-8174
Mailing address
175 EAST BROWN STREET, SUITE 112, EAST STROUDSBURG, PA 18301
(570) 424-2990
(570) 424-8174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
021131
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P021131
STATE LICENSE NUMBER
PA
Enumeration date
08/21/2006
Last updated
07/08/2007
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